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1265042774
JESSICA GOODEN
MANSFIELD, OH
NPI
1265042774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH 018685)
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
JESSICA GOODEN DPT
630 LEXINGTON AVE
MANSFIELD, OH 44907-1500
Phone number: 419-756-0616
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Mailing Address
JESSICA GOODEN DPT
53 OTTERBEIN DR
LEXINGTON, OH 44904-9341
Phone number: 419-512-5393
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